Search Results for ehr implementation

Six misperceptions…or perceptions?…of telemedicine

...;-) Actually it's like Mr. Linkous started it one way, reworked the top, and forgot to carry it through. (The 2am Edit Syndrome) Or felt that carrying it through would be too critical and got cold feet. UNATTR I thik the serious aspect of this is that these (miscon ~ I prefer)(misper)ceptions are what some/most/a lot of our commissioners take as Gospel. As such it hinders/hampers/ceases take up and implementation. If this is what commissioners that have 'grown up with Telecare/health/medicine believe then how do we persuade the commissioners of tomorrow (literally tomorrow) in the CCGs that this is viable?... Continue Reading

Cambridge Community NHS Trust tenders for WSDII Local (UK)

...over the same time period, and at worst, could show adverse results simply down to the 111 implementation timing. My background is not in statistics but I can recommend this MRC paper which provides guidance on development, evaluation and implementation of complex interventions to improve health: http://www.mrc.ac.uk/Utilities/Documentrecord/index.htm?d=MRC004871 Given the nature of most telehealth programmes in the UK, I would consider using the 'Stepped wedge design' (case study 6- page 22). This takes in to account the resource constraints in making telehealth available to a large population at once, without delaying the implementation of the intervention. I would also consider another... Continue Reading

Is it Hope? Hype? Or just the Same Old Struggle?

...of those who willfully ignore that the customer has ‘Who Cares’ stamped on their forehead and jolly well insists on doing things for their reasons, not yours; of developers not bringing skeptics (marketers, clinicians, your neighbor, Aunt Sadie) in at the start and frequently therein to kick holes in the proposition. It’s detrimental to real implementation whether B2B or B2 the end user. Thus it remains the decidedly unglamorous Same Old Struggle to make it work, get the direction right, get it funded, help a few people along the way and especially, not believe your own press releases. Also see... Continue Reading

Not quite a ‘patent troll’ but a view of an endgame?

Last fall/autumn (23 Oct), we noted that one company has developed the interesting tactic of going after users of health tech to gain fees. This was the curious case of one penny-stock company, patent holder and personal health record (PHR) developer MMRGlobal, sending out 250 letters per week to EHR/EMR users–practices, hospitals and notably pharmacies–to notify them of possible patent violations they were committing by using their contracted system, without licensing fees paid to MMR Global, and offering them licenses. As of late November the total was over 1,000. (FierceEMR, 28 Nov 12) The evident aim of this fishing expedition... Continue Reading

Sno’ news is good news? Not here! (US/CA/BR)

...prescriptions were issued to check on adverse drug reactions with 629 patients at family health practices in Quebec. The automated calls identified 46% of adverse drug reactions, with the most frequent events being non-compliance after three days (but 2/3 of patients did not comply) and new adverse symptoms after 17. iHealthBeat, HealthLeadersMedia……EHRs ‘underwhelming’ in pediatric practices. Only 19% met basic EHR definitions, with only 6% ‘fully functional’. Reasons why: EHR systems don’t typically have weight-based medication dosing features, automatic growth chart plotters, immunization tracking and catch-up immunization calculations. No wonder. Study published in Pediatrics with researchers from Seattle Children’s Hospital,... Continue Reading

Major EHR puts a $25 million bet on mHealth

EHRs, a/k/a the Rodney Dangerfield of eHealth, may be hedging their bets by placing their chips on mHealth. eClinicalWorks, one of the estimated 600+ EHRs in the US market, but one of the few with any real market share due to its preference by many state regional extension centers (RECs), announced yesterday that they are developing a from-scratch 100-person division called ‘healow’ (Health & Online Wellness) to develop systems that drive online consumer engagement–according to the article, “to make appointments, check test results, or ask their doctor a question on the go”. CEO Girish Navani claims that they have already... Continue Reading

2012 a breakthrough year for health tech investment, no matter who’s counting

We had earlier this month reported on Rock Health’s digital health estimate of $1.4 billion, up 45% vs. 2011 with 20% going towards the five biggest deals of the year [TA 8 Jan]. Now Austin, Texas-based Mercom Capital Group does its own slightly lower count of $1.2 billion in VC investment in what’s termed HIT, but this is 200% higher than their prior year total of $480 million. There’s overlap but difference in their five big companies: Castlight Health (provider comparison), 23andMe (personal genetics), GoHealth (health insurance comparison), Kinnser Software (home health clinical support) and the Practice Fusion EHR. Mercom... Continue Reading

Will Yorkshire CCGs pull the plug on the NYY telehealth project? (UK)

It seems but yesterday that Telecare Aware readers were flagging up that the £3.2 million procurement by NHS North Yorkshire and York PCT (NYY) of Tunstall telehealth monitoring equipment (including ‘free’ implementation consultancy services but plus ongoing costs of £1.7m per year) looked too hasty, too large and too soon. But no, it is over two years since NYY PCT responds to Telecare Aware item: The £3+ million telehealth spend that has achieved…what? was published. So it gives editor Steve no pleasure at all to point you to the following article that appeared in the Yorkshire Post today: Telehealth revolution... Continue Reading

EHR misery continues

EHRs are rapidly becoming the Rodney Dangerfield of eHealth (‘I don’t get no respect’). No surprise to any doctor or clinical staff who uses them–but the realization has dawned that it has actually made charts more labor intensive. “I think we’ve sort of made the paper chart electronic, but what we’ve done almost nothing of is automation.” has to be one of the drollest quotes of the past few years (Dr. Donald Rucker, VP and chief medical officer of Siemens Healthcare USA). Instead of using computers to automate, EHRs make records even ‘stickier’. Hospitals like it because it helps capture... Continue Reading